Babycare

BabyCare Crib Trolley 34200

The top of the range Babycare Crib Trolley (Model 34200) combines ease-of-use with a comprehensive range of features and will prove an invaluable asset in any maternity unit.

This model features a smart double locker in which to store a baby bath and other essentials, accessible through two doors at the front. A sturdy flap at either end gives a useful working area which can take a cardiac monitor. Each locks up into position by simply lifting and folds down neatly when not required. The crib is purpose-designed with lipped edges to avoid trapped fingers and may be lifted easily out of the trolley for cleaning. Like all models in the BabyCare series, it is designed with a secure two-way tilt facility.

An external bar at either end leaves plenty of room for hands when pushing the trolley. The 4-legged framework rests upon four 75mm (3'') castors, two of which have brakes fitted as standard, for easy movement and control.

BabyCare trolley in light beige finish.The crib, which is moulded in tough clear acrylic, and the crib mattress in waterproof cover, may each be purchased independently of the trolley if required.

BabyCare Crib Trolley 34020

Where full locker facilities are not required, this versatile crib trolley has proved to be a popular design. The two separate storage units swing out from the framework and are stored away easily and neatly under the crib when not in use. Each has a hinged lid to provide working surfaces and is easily removed for cleaning. The crib, with tilt and lift facility, is exactly as on our 34200 model, and two of the four 75mm (3'') castors likewise are fitted with brakes.

All maternity units need a stock of infant cribs that are reliable, durable and totally safe. The Babycare range of crib trolleys has been designed to fulfil all of these criteria. Standard Features:

* Crib made from clear, tough acrylic

* Secure tilting facility, giving 8º of foot-up and foot-down tilt

* Foam mattress with waterproof cover

* Mounted on castors for ease of manoeuvrability

* External bar for pushing the trolley

* Two of the castors brake securely when required for maximum safety

* Easy to use

* Easy to clean

Model 34000 has no storage facilities.

The crib’s hinged bar system may also be used at each end simultaneously in order to raise it up 10cm (4'') for phototherapy purposes. With the locker doors open, it is possible to see the useful internal storage space and shelving, very suitable for the white polypropylene bath (Model 34080).

An upper shelf (Model 34060) is also available, designed specially to take a single channel monitor.

Model 34010 is the same crib trolley but with only one storage unit, shown here tucked away. Additional storage may be provided with the optional lower shelf (Model 34070). A ‘warm lid’ (Model 34020-not illustrated) is available in clear acrylic. This prevents draughts when the baby is being wheeled to and from the nursery.

BabyCare Crib Trolley 34100

Designed specially for export customers only, the trolley chassis shown here is supplied in a knock-down form to minimise freight costs. It is quick to assemble and rugged in use, providing an inexpensive yet modern crib trolley for use in post-natal wards. Versatility and safety is demonstrated with the very strong acrylic crib which gives 8º of tilt. The chassis is fitted with four 75mm (3'') castors, two with brakes. Storage units may be ordered if required: model 34110 is with one unit, model 34120 is with two units. A lower storage shelf (Model 34170) is also available.

Model 34100 BabyCare export crib trolley with acrylic crib unit (Model 34030) in tilt position. The mattress (Model 34050) has a two-way stretch cover (not illustrated).

PRESSURE ULCERS IN PAEDIATRICS:

Pressure ulcers have been reported across all healthcare settings, affect all age groups and are costly in terms of quality of life and health care resources. Pressure ulcers develop when persistent pressure on a bony site obstructs healthy capillary flow leading to tissue necrosis. This typically occurs over a bony prominence but can occur in any situation where blood flow to the skin is impeded. The aetiology of pressure ulcers is multifactorial and although mechanical forces are the prime aetiological factors, more than 100 risk factors have been identified in the literature that reduce tissue tolerance and increase patient susceptibility 1. In addition pressure ulceration can be a significant risk to children particularly if they are very debilitated 2.

WHY ARE BABIES AND CHILDREN AT RISK OF PRESSURE ULCERATION?

Traditionally, the focus of the prevention and management of pressure ulceration has been on the adult population. Babies and children however cannot be considered just ‘small adults’; their morphology and the risk factors affecting skin tolerance to pressure differ significantly from that of adults.

Compared with an adult, the dermal layer of a newborn baby delivered at term is only 60% thickness; and even thinner in a premature infant3. The significance of immature collagen and elastin on the ability of the tissues to absorb and tolerate a mechanical load is also unknown4. In pre-term infants, the presence of tissue oedema can reduce blood flow to the skin increasing the risk of pressure injuries3.

Although babies and small children are relatively easy to reposition by those caring for them, complex medical technologies such as specialist ventilation or extra corporeal membrane oxygenation may limit position options3. Pressure injuries may also result from monitoring instrumentation, endotracheal tubing, cannulae, splints and drainage catheters5. The prone position which may be utilised for paediatric patients with acute lung injury, has also been associated with the development of pressures injuries to the sternum, iliac and pretibial crests, knees, ears and mouth6.

In adults, virtually all pressure injuries occur in the lower half of the body, however in children and babies, body weight distribution is different particularly in babies and very young children. The occiput is an area of high risk in babies, as this is the largest and heaviest bony prominence; there is also less sub-cutaneous tissue and hair which increase the effect of pressure and shear.